During annual performance evaluations of RNs, a nurse manager is assessing staff behaviors. Which of the following behaviors indicates INEFFECTIVE followership?

The staff member asks for frequent clarification.

The staff member speaks up when ethical issues arise.

The team member openly communicates concerns.

The team member depends entirely on leader direction.

Answer and Explanation

The Correct Answer is D

Choice A Reason:

The staff member asks for frequent clarification. While asking for clarification can indicate a need for further understanding, it is not necessarily a sign of ineffective followership. In fact, seeking clarification can demonstrate a commitment to accuracy and a willingness to learn, which are positive traits in a follower. Effective followers are proactive in ensuring they understand their tasks and responsibilities.

Choice B Reason:

The staff member speaks up when ethical issues arise. This behavior is a hallmark of effective followership. Speaking up about ethical concerns shows that the staff member is engaged, responsible, and committed to maintaining high standards of care. Effective followers are not passive; they actively contribute to the ethical and professional environment of the workplace.

Choice C Reason:

The team member openly communicates concerns. Open communication is a critical component of effective followership. It fosters a transparent and collaborative work environment where issues can be addressed promptly and effectively. Effective followers are not afraid to voice their concerns and contribute to problem-solving processes.

Choice D Reason:

The team member depends entirely on leader direction. This behavior indicates ineffective followership. Dependence on leader direction without showing initiative or critical thinking can hinder the team’s performance and adaptability. Effective followers should be able to work independently, make informed decisions, and contribute to the team’s goals without constant supervision.

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Correct Answer is B

Explanation

Choice A Reason:

Saying “You have been very inconsiderate of others by not completing your share of the work” is confrontational and accusatory. This approach can lead to defensiveness and conflict rather than a constructive conversation. Effective communication in nursing should be respectful and focused on resolving issues collaboratively.

Choice B Reason:

“I need to speak with you about unit expectations regarding delegating and completing tasks” is the most appropriate statement. It is direct yet respectful, focusing on the expectations and standards of the unit rather than personal shortcomings. This approach opens the door for a constructive dialogue about performance and responsibilities, which is essential for resolving the issue and improving teamwork.

Choice C Reason:

“If you don’t do your share of the work, I will have to inform the nurse manager” is a threat and can create a hostile work environment. While it is important to address performance issues, using threats can escalate the situation and damage professional relationships. Constructive feedback should aim to support improvement rather than instill fear.

Choice D Reason:

“Several staff members have commented that you don’t do your fair share of the work” relies on hearsay and can be perceived as gossip. This approach can undermine trust and does not address the issue directly. It is more effective to focus on specific behaviors and expectations rather than what others have said.

A. I can input the note for you. What would you like to include? Please ensure you sign your note as it will be recorded under my login credentials. B. I apologize, but you need to enter the information using your own password. C. Certainly, feel free to log me out when you’re finished.

Correct Answer is B

Explanation

Choice A Reason

Offering to input the note for the resident and asking them to sign it under the nurse’s login credentials is not appropriate. This practice can lead to issues with accountability and accuracy in medical records. Each healthcare professional is responsible for their own documentation, and using another person’s login credentials can compromise the integrity of the medical record and violate hospital policies and regulations.

Choice B Reason

Informing the resident that they need to enter the information using their own password is the correct response. This ensures that each entry in the medical record is accurately attributed to the correct healthcare provider, maintaining accountability and integrity in documentation. It also complies with hospital policies and regulations regarding the use of electronic health records (EHRs) and protects patient confidentiality.

Choice C Reason

Allowing the resident to use the nurse’s login credentials and log her out when finished is not appropriate. This practice can lead to security breaches and issues with accountability in the medical record. Each healthcare provider must use their own login credentials to ensure that all entries are accurately attributed and to maintain the security of the EHR system.

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During annual performance evaluations of RNs, a nurse manager is assessing staff behaviors. Which of the following behaviors indicates INEFFECTIVE followership?

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Correct Answer is B

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Correct Answer is B

Explanation

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During annual performance evaluations of RNs, a nurse manager is assessing staff behaviors. Which of the following behaviors indicates INEFFECTIVE followership?